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The remaining cases developed pathology at a different level, or on the opposite side, but at the same level as the surgery was performed. In theory, all failed back patients have some sort of nerve injury or damage which leads to a persistence of symptoms after a reasonable healing time. [59] [60] [132]
Spinal fusion is a high risk surgery and complications can be serious, including death. In general, there is a higher risk of complications in older people with elevated body mass index (BMI), other medical problems, poor nutrition and nerve symptoms (numbness, weakness, bowel/bladder issues) before surgery. [4]
Nerve decompressions and resections are the only treatments with a known cure rate. It is a common clinical experience, that even chronic entrapments with longstanding muscle weakness and sensory disturbances sometimes show a very rapid reversibility of some or all of the symptoms after surgical decompression of the nerve. [5]
The only solution was spinal fusion surgery. Doctors would attach two rods along Chelsea's spine spanning from around the base of her neck (T2 vertebrae) to her lower back (L2 vertebrae), then ...
These changes, such as bulging disks, thickening of ligaments and overgrowth of bone spurs, lead to pressure and potentially damage to the spinal nerve roots. [2] The compression of the spinal nerve roots that control movements and sensations in the lower body subsequently causes the symptoms of NC. [5]
Denervation may be the result of nerve injury. The three main types of nerve injury are neurapraxia, axonotmesis and neurotmesis. These three types distinguish between the severity of the nerve damage and the potential for recovery after the damage. After an injury in which some nerves are damaged, the brain has shown capabilities in rewiring ...
Nerve decompressions are associated with a significant reduction in pain, in some cases the complete elimination of pain. [64] [58] [59] For patients with diabetic peripehral neuropathy (which affects 30% of diabetes patients [65]) and superimposed nerve compression, this may be treatable with multiple nerve decompressions.
With spinal fusion, the recovery time may be longer. In some cases after laminectomy and spinal fusion, it may take several months to return to normal activities. [1] Potential complications include bleeding, infection, blood clots, nerve injury, and spinal fluid leak. [1]
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